<%@ page import="java.util.Map" %>
<%@ page contentType="text/html;charset=UTF-8" language="java" %>
<%@taglib prefix="c" uri="http://java.sun.com/jsp/jstl/core" %>
<%@ taglib uri="http://java.sun.com/jsp/jstl/fmt" prefix="fmt" %>
<!DOCTYPE html>
<html lang="zh-CN">
<head>
    <jsp:include page="../head.jsp" flush="true">
        <jsp:param name="title" value="后台管理系统 - 用户管理"/>
    </jsp:include>
    <style>
        td{width:130px;heitht:auto;text-align:left;}
        table{text-align:center;font-size:11px;}
        p{width:1000px;}
        input{
            height:100%;width:auto;}
    </style>
    <script type="text/javascript">
        function checkForm(message) {
            if(message.fifthCdepartment.value==""){
                alert("医院科室不能为空");
                return false;
            }
            if (window.confirm("确定提交表格并进入下一表格吗？\r\注意：表格不可重复填写！")) {
                return true;
            }
            return false;
        }
    </script>
</head>
<body  align="center">
<!-- 头导航 -->
<jsp:include page="../navbar.jsp"/>

<form action="${domain}/admin/fifth/c" method="post" name="message" onsubmit="return checkForm(this)">
    <input name="oName" type="hidden" value="${oName}">
    <div width="1000" align="center">

        <h3>4、2015年妇幼保健机构<input placeholder="请填写科室" name="fifthCdepartment">科室公共卫生服务收支情况<font color="red">(注意填写科室)</font></h3>
        <h4><font color="red">第${number}个科室</font></h4>如果重复填，只要注意科室名称相同即可，无需管第几个科室
        <c:if test="${number > 1}">
            <h4><a href="${domain}/admin/fifth/index/show">我已填完所有科室，跳过</a></h4>
        </c:if>

        <input name="number" type="hidden" value=${number}>
        <table border="1" cellspacing="0" cellpadding="0">
            <tr>
                <th rowspan="2">服务项目</th>
                <th colspan="3">服务收费情况</th>
                <th colspan="3">服务支出情况</th>
            </tr>
            <tr>

                <td>年度收费总额（元）</td>
                <td>服务量（人次）</td>
                <td>次均收费水平（元/人次）</td>
                <td>卫生材料支出（元）</td>
                <td>药品支出（元）</td>
                <td>其他支出（元）</td>
            </tr>
            <tr>
                <td><b>全部公共卫生服务</b></td>
                <td><input style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
                <td><input style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
                <td><input style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
                <td><input style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
                <td><input style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
                <td><input style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[0] value="一、免疫" type="hidden">一、免疫</td>
                <td><input name="fifthC[1]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[2]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[3]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[4]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[5]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCl[0]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
            </tr>

            <tr>

                <td><input readonly unselectable="on" name=fifthC[6] value="1、计划免疫" type="hidden">1、计划免疫</td>
                <td><input name="fifthC[7]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[8]" type="number" step="0.01"></td>
                <td><input name="fifthC[9]" type="number" step="0.01"></td>
                <td><input name="fifthC[10]" type="number" step="0.01"></td>
                <td><input name="fifthC[11]" type="number" step="0.01"></td>
                <td><input name="fifthCl[1]" type="number" step="0.01"></td>
            </tr>

            <tr>
                <td><input readonly unselectable="on" name=fifthC[12] value="2、计划外免疫" type="hidden">2、计划外免疫</td>
                <td><input name="fifthC[13]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[14]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[15]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[16]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[17]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[2]" type="number" step="0.01"></td>
            </tr>


            <tr>
                <td><input readonly unselectable="on" name=fifthC[18] value="3、其他" type="hidden">3、其他</td>
                <td><input name="fifthC[19]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[20]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[21]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[22]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[23]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[3]" type="number" step="0.01"></td>
            </tr>

            <tr>
                <td><input readonly unselectable="on" name=fifthC[24] value="二、计划生育" type="hidden">二、计划生育</td>
                <td><input name="fifthC[25]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[26]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[27]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[28]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[29]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCl[4]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
            </tr>

            <tr>
                <td><input readonly unselectable="on" name=fifthC[30] value="1、放置节育器" type="hidden">1、放置节育器</td>
                <td><input name="fifthC[31]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[32]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[33]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[34]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[35]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[5]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[36] value="2、取出节育器" type="hidden">2、取出节育器</td>
                <td><input name="fifthC[37]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[38]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[39]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[40]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[41]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[6]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[42] value="3、输卵管结扎" type="hidden" >3、输卵管结扎</td>
                <td><input name="fifthC[43]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[44]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[45]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[46]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[47]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[7]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[48] value="4、输精管结扎" type="hidden">4、输精管结扎</td>
                <td><input name="fifthC[49]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[50]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[51]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[52]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[53]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[8]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[54] value="5、流产" type="hidden">5、流产</td>
                <td><input name="fifthC[55]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[56]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[57]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[58]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[59]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[9]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[60] value="6、放置皮下埋植" type="hidden">6、放置皮下埋植</td>
                <td><input name="fifthC[61]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[62]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[63]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[64]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[65]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[10]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[66] value="7、取出皮下埋植" type="hidden">7、取出皮下埋植</td>
                <td><input name="fifthC[67]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[68]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[69]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[70]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[71]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[11]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[72] value="8、其他计划生育" type="hidden">8、其他计划生育</td>
                <td><input name="fifthC[73]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[74]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[75]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[76]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[77]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[12]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[78] value="三、传染病预防" type="hidden">三、传染病预防</td>
                <td><input name="fifthC[79]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[80]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[81]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[82]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[83]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCl[13]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[84] value="1、性病艾滋病" type="hidden">1、性病艾滋病</td>
                <td><input name="fifthC[85]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[86]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[87]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[88]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[89]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[14]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[90] value="2、结核病" type="hidden">2、结核病</td>
                <td><input name="fifthC[91]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[92]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[93]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[94]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[95]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[15]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[96] value="3、肝炎" type="hidden">3、肝炎</td>
                <td><input name="fifthC[97]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[98]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[99]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[100]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[101]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[16]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[102] value="4、流感" type="hidden">4、流感</td>
                <td><input name="fifthC[103]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[104]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[105]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[106]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[107]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[17]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[108] value="5、自然疫源性疾病" type="hidden">5、自然疫源性疾病</td>
                <td><input name="fifthC[109]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[110]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[111]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[112]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[113]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[18]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[114] value="6、传染病疫情报告和监测" type="hidden">6、传染病疫情报告和监测</td>
                <td><input name="fifthC[115]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[116]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[117]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[118]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[119]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[19]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[120] value="7、其他传染病" type="hidden">7、其他传染病</td>
                <td><input name="fifthC[121]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[122]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[123]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[124]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[125]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[20]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[126] value="四、孕产妇保健" type="hidden">四、孕产妇保健</td>
                <td><input name="fifthC[127]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[128]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[129]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[130]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[131]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCl[21]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[132] value="1、孕产妇保健档案" type="hidden">1、孕产妇保健档案</td>
                <td><input name="fifthC[133]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[134]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[135]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[136]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[137]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[22]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[138] value="2、产前检查" type="hidden">2、产前检查</td>
                <td><input name="fifthC[139]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[140]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[141]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[142]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[143]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[23]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[144] value="3、产后访视" type="hidden">3、产后访视</td>
                <td><input name="fifthC[145]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[146]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[147]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[148]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[149]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[24]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[150] value="4、预防母婴传播疾病" type="hidden">4、预防母婴传播疾病</td>
                <td><input name="fifthC[151]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[152]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[153]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[154]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[155]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[25]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[156] value="5、高危孕产妇管理" type="hidden">5、高危孕产妇管理</td>
                <td><input name="fifthC[157]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[158]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[159]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[160]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[161]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[26]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[162] value="6、孕产妇卫生信息统计" type="hidden">6、孕产妇卫生信息统计</td>
                <td><input name="fifthC[163]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[164]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[165]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[166]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[167]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[27]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[168] value="7、技术指导" type="hidden">7、技术指导</td>
                <td><input name="fifthC[169]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[170]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[171]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[172]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[173]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[28]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[174] value="8、其他孕产妇保健" type="hidden">8、其他孕产妇保健</td>
                <td><input name="fifthC[175]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[176]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[177]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[178]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[179]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[29]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[180] value="五、妇女病普查" type="hidden">五、妇女病普查</td>
                <td><input name="fifthC[181]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[182]" step="0.01"></input></td>
                <td><input name="fifthC[183]" step="0.01"></input></td>
                <td><input name="fifthC[184]" step="0.01""></input></td>
                <td><input name="fifthC[185]" step="0.01"></input></td>
                <td><input name="fifthCl[30]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[186] value="六、婚前检查" type="hidden">六、婚前检查</td>
                <td><input name="fifthC[187]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[188]" step="0.01"></input></td>
                <td><input name="fifthC[189]" step="0.01"></input></td>
                <td><input name="fifthC[190]" step="0.01"></input></td>
                <td><input name="fifthC[191]" step="0.01"></input></td>
                <td><input name="fifthCl[31]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[192] value="七、孕前优生检查" type="hidden">七、孕前优生检查</td>
                <td><input name="fifthC[193]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[194]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[195]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[196]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[197]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCl[32]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[198] value="1、优生健康教育" type="hidden">1、优生健康教育</td>
                <td><input name="fifthC[199]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[200]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[201]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[202]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[203]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[33]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[204] value="2、病史询问" type="hidden">2、病史询问</td>
                <td><input name="fifthC[205]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[206]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[207]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[208]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[209]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[34]" type="number" step="0.01"></td>
            </tr>

            <tr>
                <td><input readonly unselectable="on" name=fifthC[210] value="3、体格检查" type="hidden">3、体格检查</td>
                <td><input name="fifthC[211]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[212]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[213]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[214]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[215]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[35]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[216] value="4、风险评估和询问指导" type="hidden">4、风险评估和询问指导</td>
                <td><input name="fifthC[217]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[218]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[219]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[220]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[221]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[36]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[222] value="5、实验室检查9项（包括梅毒螺旋体）" type="hidden">5、实验室检查9项（包括梅毒螺旋体）</td>
                <td><input name="fifthC[223]"style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[224]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[225]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[226]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[227]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[37]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[228] value="6、影像学检查" type="hidden">6、影像学检查</td>
                <td><input name="fifthC[229]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[230]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[231]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[232]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[233]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[38]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[234] value="八、儿童保健服务" type="hidden">八、儿童保健服务</td>
                <td><input name="fifthC[235]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[236]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[237]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[238]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[239]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCl[39]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[240] value="1、婴幼儿保健档案" type="hidden">1、婴幼儿保健档案</td>
                <td><input name="fifthC[241]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[242]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[243]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[244]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[245]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[40]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthC[246] value="2、新生儿疾病筛查" type="hidden">2、新生儿疾病筛查</td>
                <td><input name="fifthC[247]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthC[248]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[249]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[250]" type="number" step="0.01"></input></td>
                <td><input name="fifthC[251]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[41]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[0] value="3、儿童生长发育" type="hidden">3、儿童生长发育</td>
                <td><input name="fifthCo[1]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[2]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[3]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[4]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[5]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[42]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[6] value="4、儿童营养评估与指导" type="hidden">4、儿童营养评估与指导</td>
                <td><input name="fifthCo[7]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[8]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[9]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[10]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[11]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[43]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[12] value="5、儿童神经心理发育测评" type="hidden">5、儿童神经心理发育测评</td>
                <td><input name="fifthCo[13]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[14]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[15]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[16]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[17]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[44]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[18] value="6、儿童发展促进" type="hidden">6、儿童发展促进</td>
                <td><input name="fifthCo[19]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[20]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[21]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[22]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[23]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[45]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[24] value="7、高危儿管理" type="hidden">7、高危儿管理</td>
                <td><input name="fifthCo[25]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[26]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[27]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[28]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[29]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[46]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[30] value="8、高危儿早期干预" type="hidden">8、高危儿早期干预</td>
                <td><input name="fifthCo[31]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[32]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[33]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[34]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[35]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[47]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[36] value="9、儿童康复" type="hidden">9、儿童康复</td>
                <td><input name="fifthCo[37]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[38]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[39]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[40]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[41]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[48]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[42] value="10、儿童眼保健" type="hidden">10、儿童眼保健</td>
                <td><input name="fifthCo[43]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[44]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[45]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[46]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[47]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[49]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[48] value="11、儿童口腔保健" type="hidden">11、儿童口腔保健</td>
                <td><input name="fifthCo[49]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[50]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[51]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[52]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[53]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[50]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[54] value="12、儿童听力保健" type="hidden">12、儿童听力保健</td>
                <td><input name="fifthCo[55]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[56]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[57]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[58]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[59]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[51]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[60] value="13、托幼机构卫生保健" type="hidden">13、托幼机构卫生保健</td>
                <td><input name="fifthCo[61]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[62]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[63]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[64]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[65]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[52]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[66] value="14、技术指导" type="hidden">14、技术指导</td>
                <td><input name="fifthCo[67]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[68]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[69]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[70]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[71]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[53]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[72] value="15、儿童卫生信息统计" type="hidden">15、儿童卫生信息统计</td>
                <td><input name="fifthCo[73]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[74]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[75]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[76]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[77]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[54]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[78] value="16、其他儿童保健服务" type="hidden">16、其他儿童保健服务</td>
                <td><input name="fifthCo[79]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[80]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[81]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[82]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[83]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[55]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[84] value="九、健康体检" type="hidden">九、健康体检</td>
                <td><input name="fifthCo[85]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[86]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[87]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[88]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[89]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCl[56]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[90] value="1、学生体检" type="hidden">1、学生体检</td>
                <td><input name="fifthCo[91]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[92]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[93]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[94]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[95]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[57]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[96] value="2、职业病体检" type="hidden">2、职业病体检</td>
                <td><input name="fifthCo[97]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[98]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[99]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[100]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[101]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[58]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[102] value="3、健康证体检" type="hidden">3、健康证体检</td>
                <td><input name="fifthCo[103]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[104]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[105]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[106]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[107]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[59]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[108] value="4、个人体检" type="hidden">4、个人体检</td>
                <td><input name="fifthCo[109]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[110]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[111]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[112]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[113]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[60]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[114] value="5、免费体检" type="hidden">5、免费体检</td>
                <td><input name="fifthCo[115]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[116]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[117]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[118]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[119]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[61]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[120] value="6、其他体检" type="hidden">6、其他体检</td>
                <td><input name="fifthCo[121]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[122]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[123]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[124]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[125]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[62]" type="number" step="0.01"></td>
            </tr>


            <tr>
                <td><input readonly unselectable="on" name=fifthCo[126] value="十、院内感染控制" type="hidden">十、院内感染控制</td>
                <td><input name="fifthCo[127]" style="background-color:#D1D1D1" step="0.01" type="number" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[128]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[129]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[130]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[131]" step="0.01" type="number"></input></td>
                <td><input name="fifthCl[63]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[132] value="十一、公共卫生信息管理" type="hidden">十一、公共卫生信息管理</td>
                <td><input name="fifthCo[133]" style="background-color:#D1D1D1" step="0.01" type="number" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[134]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[135]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[136]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[137]" step="0.01" type="number"></input></td>
                <td><input name="fifthCl[64]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[138] value="十二、公共卫生知识培训" type="hidden">十二、公共卫生知识培训</td>
                <td><input name="fifthCo[139]" style="background-color:#D1D1D1" step="0.01" type="number" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[140]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[141]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[142]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[143]" step="0.01" type="number"></input></td>
                <td><input name="fifthCl[65]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[144] value="十三、死因监测" type="hidden">十三、死因监测</td>
                <td><input name="fifthCo[145]" style="background-color:#D1D1D1" step="0.01" type="number" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[146]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[147]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[148]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[149]" step="0.01" type="number"></input></td>
                <td><input name="fifthCl[66]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=fifthCo[150] value="十四、突发公共卫生事件应急处理" type="hidden">十四、突发公共卫生事件应急处理</td>
                <td><input name="fifthCo[151]" style="background-color:#D1D1D1" step="0.01" type="number" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[152]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[153]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[154]" step="0.01" type="number"></input></td>
                <td><input name="fifthCo[155]" step="0.01" type="number"></input></td>
                <td><input name="fifthCl[67]" type="number" step="0.01"></td>
            </tr>

            <tr>
                <td><input readonly unselectable="on" name=fifthCo[156] value="十五、其他" type="hidden">十五、其他</td>
                <td><input name="fifthCo[157]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[158]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[159]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[160]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[161]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[68]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=fifthCo[162]></td>
                <td><input name="fifthCo[163]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[164]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[165]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[166]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[167]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[69]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=fifthCo[168]></td>
                <td><input name="fifthCo[169]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[170]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[171]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[172]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[173]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[70]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=fifthCo[174]></td>
                <td><input name="fifthCo[175]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[176]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[177]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[178]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[179]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[71]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=fifthCo[180]></td>
                <td><input name="fifthCo[181]" type="number" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[182]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[183]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[184]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[185]" type="number"  step="0.01"></input></td>
                <td><input name="fifthCl[72]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name="fifthCo[186]"></input></td>
                <td><input name="fifthCo[187]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="fifthCo[188]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[189]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[190]" type="number" step="0.01"></input></td>
                <td><input name="fifthCo[191]" type="number" step="0.01"></input></td>
                <td><input name="fifthCl[73]" type="number" step="0.01"></td>
            </tr>

        </table>
        <p align=left>
            注：</br>
            1、本表分科室填写，每个科室填写其相应开展服务的部分，涉及到的科室包括预防保健科、妇科、产科、儿科、生殖科、医务科、院内感染科（质控办）等。</br>
            2、某一项公共卫生服务的收费收入不包括治疗性收入和财政补助收入。填写过程中请注意收费收入总额与服务量和次均费用之间的勾稽关系，即收费收入总额等于服务量乘以次均费用。</br>
            3、免疫规划和计划外免疫的次均费用包括接种费和疫苗费。</br>
            4、各项公共卫生服务的一级分类指标（如，二、计划生育；），其填写的“年度收费总额”、“服务量”、“卫生材料费”、“药品费”应该等于其所含的二级分类指标（1、放置节育器；2、取出节育器；3、输卵管结扎；4、输精管结扎；5、流产；6、放置皮下埋植；7、取出皮下埋植；8、其他计划生育）的相应指标的合计。</br>
            5、其他支出主要指开展该项服务时直接发生的印刷费、宣传费、邮寄费、公务用车运行维护费和其他交通费用等支出。</br>
            6、如本科室无某一服务项目，请在对应的单元格中填“0”。</br>
            7、如提供的是免费服务，则收费总额和收费水平栏填写“0”。</br>
            8.表中没有列出的公共卫生服务项目，可以明确一级分类的，需填写在一级分类下的“其他”服务中，如不能明确一级分类，则需填写在“十五、其他”中，并在二级明细中填写具体的公共卫生服务内容。</br>
        </p>
    <button type="submit"><b>提交并进入下一表格</b></button>

    </div>
</form>

</body>
</html>